Susan J Devito

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

710 Coronado Center Dr Ste 110
Henderson, NV 89052-4290

Phone

(702) 778-9500

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Susan J Devito Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Valley Consulting Corp

  • Developmental Disabilities Clinic/Center
  • Henderson, NV
  • NPI 1588455430

  Health & Wellness Coach

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1336937283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DESERT ARROYO CT",
            "address_2": "SUSAN DEVITO",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-506-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524290",
            "telephone_number": "702-778-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 W Lake Mead Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281038",
            "country_code": "US",
            "telephone_number": "702-778-9500 x200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "SUSAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DEVITO",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan Detiberiis, A.PATH, DNP
• Angela Regina Detie, APN,CNM
• Linda Rhee Devaull, RN
• Cassie Devine
• Andrew Devito
• Mackenzie Robert Dewar, MFT-INTERN
• Citra Dewi Dharmaga Sari
• Roopvinder Dhesi, D.D.S
• Neel Vallabhdas Dhudshia, M.D.
• Jenna Marie Di Lauro, M.S., LMFT

• Health & Wellness Coach in Henderson, NV
• Providers in Henderson, NV by specialty
• Health & Wellness Coach in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.